Nursing Elites

1. The immune response can be categorized into two main branches:

• A. Humoral and cellular
• B. Innate and adaptive
• C. Primary and secondary
• D. Active and passive

Correct answer: A

Rationale: - The immune response can be broadly categorized into two main branches: the humoral immune response and the cellular immune response. - The humoral immune response involves the production of antibodies by B cells and is primarily responsible for defending against extracellular pathogens such as bacteria and viruses in the bloodstream and tissues. - The cellular immune response involves the activation of T cells, which can directly kill infected cells or help coordinate the immune response. This branch is crucial for combating intracellular pathogens like viruses and some bacteria. - Options B, C, and D do not accurately represent the main branches of the immune response and are therefore incorrect.

2. Antigenic variation, a common strategy used by some viruses, allows them to:

• A. Produce toxins
• B. Evade the immune system
• C. Survive outside a host
• D. Replicate rapidly

Correct answer: B

Rationale: Antigenic variation is a strategy used by some viruses to evade the host's immune response. By constantly changing their surface antigens, viruses can avoid recognition and destruction by the immune system. This allows the virus to persist in the host and continue replicating, leading to prolonged infection and potential transmission to other hosts. Antigenic variation does not directly involve the production of toxins, survival outside a host, or rapid replication, making options A, C, and D incorrect in this context.

3. Which muscular pouch in the upper left abdomen stores food after swallowing and begins mechanical and chemical digestion?

• A. Esophagus
• B. Stomach
• C. Small intestine
• D. Large intestine

Correct answer: B

Rationale: The correct answer is B: Stomach. The stomach is the muscular pouch in the upper left abdomen that stores food after swallowing and begins mechanical and chemical digestion. It secretes gastric juices containing enzymes and hydrochloric acid to break down food particles. The esophagus is a muscular tube that carries food from the mouth to the stomach, while the small intestine and large intestine are primarily involved in the absorption of nutrients and water, respectively. Therefore, the stomach is the organ responsible for the described functions, making it the correct answer in this context.

4. Elements tend to gain or lose electrons to achieve stable electron configurations like those of noble gases. Their group number often indicates the number of electrons gained/lost and the resulting ionic charge, providing a good starting point for prediction.

• A. Ionic bonds involve electron sharing, while metallic bonds involve electron transfer.
• B. Ionic bonds are weak and directional, while metallic bonds are strong and non-directional.
• C. Ionic bonds exist between metals and non-metals, while metallic bonds exist only between metals.
• D. Ionic bonds form discrete molecules, while metallic bonds form extended structures.

Correct answer: C

Rationale: Ionic bonds typically form between metals and non-metals, where one atom donates electrons (cation) and the other accepts electrons (anion). This results in the transfer of electrons. Metallic bonds, on the other hand, occur between metal atoms where electrons are shared among a sea of delocalized electrons, leading to the characteristic properties of metals like malleability and conductivity. Choice A is incorrect because ionic bonds involve electron transfer, not sharing. Choice B is incorrect as ionic bonds are strong, not weak, and are non-directional, while metallic bonds are strong and non-directional. Choice D is incorrect as ionic bonds do not form discrete molecules but rather a lattice structure, whereas metallic bonds form extended structures.

5. What defines the systole phase in the cardiac cycle?

• A. Relaxation of the heart
• B. Contraction of the heart
• C. Diastole of the heart
• D. Pulse rate of the heart

Correct answer: B

Rationale: The correct answer is B: Contraction of the heart. Systole is the phase of the cardiac cycle during which the heart muscle contracts, pumping blood out of the chambers. It is essential for maintaining circulation and delivering oxygen and nutrients to the body's tissues. Diastole (choice C) is the relaxation phase of the heart when the chambers fill with blood. Pulse rate (choice D) is the number of heartbeats per minute, not specifically related to the systole phase. Choice A, 'Relaxation of the heart,' is incorrect because systole refers to the contraction phase of the cardiac cycle, not relaxation.

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